Foot and ankle in rheumatoid arthritis by Maurice Bouysset, Yves Tourné, Karl Tillmann

By Maurice Bouysset, Yves Tourné, Karl Tillmann

This number of the final paintings of 18 authors bargains with many of the difficulties of osteo-articular pathology of the foot and ankle in Rheumatoid Arthritis. The broad and certain information regarding the diagnostic and the healing difficulties of the disorder are integrated. the basic info of pathomechanics are uncovered and mentioned. The chapters on pathology and therapeutics are approached via a scientific framework, followed by way of a number of images and provide classical and up to date references. the subject of foot orthoses and sneakers is well comprehensible. the most notions on ankle prostheses are quite uncovered and mentioned. The chapters are so basically offered that they are going to curiosity non-specialists and experts alike. In a few of the components of the therapy a very skilled writer deals his viewpoint at the symptoms of the healing ways. This e-book will attract all experts involved via the information of the foot and ankle in Rheumatoid Arthritis, no matter what their components of practice.

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7 - Advanced rheumatoid forefoot, subluxation of median metatarsophalangeal joints, complete destruction of fifth metatarsal head. Fig. 8 - Plantar erosion of fifth metatarsal head. 22 Foot and ankle in rheumatoid arthritis Radiography of the forefoot helps to identif)^ the patients who have erosive arthropathy and whose prognosis is poor. In this context, X-rays of the feet and hands every six months during the first two years of the disease can be useful in identifying the patients who risk having severe articular lesions (20).

Sharp JT, Wilder RR, Hunder RI (1988) The American rheumatism association 1989. Criteria for the classification of rheumatoid arthritis. Arthritis Rheum 31: 315-24 95. Simkin PA, Downey DL Richardson ML (1989) Letter: More on the posterior tibial tendon in rheumatoid arthritis. Arthritis Rheum 32: 8 96. Simon L, Claustre J, AlHeu Y (1980) Le pied rhumatoide. Genese des deformations. Rev Rhum 47: 117-22 97. Smith CA, Arnett FC (1991) Epidemiologic aspects of rheumatoid arthritis, current immunogenetic approach.

Chiropodal care makes a valuable contribution and alleviates lesions due to pressure and hyperkeratoses by nail care and the excision of corns. It sometimes abolishes the pain in a forefoot, even a very deformed one (4, 24, 33). Local hygiene is supplementary in patients who have difficulty in maintaining the hygiene of their feet. The fragile skin cover needs attention by trying to avoid maceration, and by the wearing of cotton socks. Adhesive epidermal protectors relieve the hyperpressure zones (24,115).

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